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Cooperative Virtual Reality Gaming for Anxiety and Pain Reduction in Pediatric Patients and Their Caregivers During Painful Medical Procedures: Protocol for a Randomized Controlled Trial

Cooperative Virtual Reality Gaming for Anxiety and Pain Reduction in Pediatric Patients and Their Caregivers During Painful Medical Procedures: Protocol for a Randomized Controlled Trial

While several different works have successfully used VR games as a distraction during painful procedures [14-16], SDVR is, to the best of our knowledge, the first game that involves both the patient and the caregiver and aims to enhance the emotional experience of both. This study aims to evaluate the effectiveness of using cooperative VR games during medical procedures to improve patient and caregiver experiences.

Stefan Liszio, Franziska Bäuerlein, Jens Hildebrand, Carolin van Nahl, Maic Masuch, Oliver Basu

JMIR Res Protoc 2025;14:e63098

Extended Reality Interventions for Health and Procedural Anxiety: Panoramic Meta-Analysis Based on Overviews of Reviews

Extended Reality Interventions for Health and Procedural Anxiety: Panoramic Meta-Analysis Based on Overviews of Reviews

Two primary approaches to alleviate health and procedural anxiety are exposure and distraction therapies. Distraction-based approaches seek to reduce anxiety by diverting attention away from distressing thoughts, situations, or physical sensations. While controversial as a long-term technique [1], these are effective for short-term anxiety reduction [2]. However, distraction methods may not always be readily available or accessible, particularly in moments of acute anxiety/stress.

Tom Arthur, GJ Melendez-Torres, David Harris, Sophie Robinson, Mark Wilson, Sam Vine

J Med Internet Res 2025;27:e58086

An Intelligent Customer-Driven Digital Solution to Improve Perioperative Health Outcomes Among Children Undergoing Circumcision and Their Parents: Development and Evaluation

An Intelligent Customer-Driven Digital Solution to Improve Perioperative Health Outcomes Among Children Undergoing Circumcision and Their Parents: Development and Evaluation

Children desired parental presence and more distraction techniques to be used by their parents for pain management [41]. Parents also wished to monitor their children’s pain in addition to the strategies [31]. Finally, children hoped for more communication between parents and nurses to assist with postoperative pain [42]. Various technological-based interventions have been developed and aimed at parents of children undergoing elective surgeries.

Zhi Yin Kwa, Jinqiu Li, Dale Lincoln Loh, Yang Yang Lee, Guangyu Liu, Lixia Zhu, Minna Pikkarainen, Honggu He, Vidyadhar Padmakar Mali

JMIR Form Res 2024;8:e52337

A New Option for Pain Prevention Using a Therapeutic Virtual Reality Solution for Bone Marrow Biopsy (REVEH Trial): Open-Label, Randomized, Multicenter, Phase 3 Study

A New Option for Pain Prevention Using a Therapeutic Virtual Reality Solution for Bone Marrow Biopsy (REVEH Trial): Open-Label, Randomized, Multicenter, Phase 3 Study

These parameters could be evaluated in a randomized study comparing all distraction methods (VR, hypnosis, music, television, video games). Even if the primary outcome of the study has not been achieved, the VR-based relaxation method was well tolerated, and the satisfaction of patients and physicians was very high in the VR group.

Katell Le Du, Anne-Lise Septans, Frédéric Maloisel, Hélène Vanquaethem, Anna Schmitt, Marielle Le Goff, Aline Clavert, Marie Zinger, Hugues Bourgeois, Olivier Dupuis, Fabrice Denis, Stéphane Bouchard

J Med Internet Res 2023;25:e38619

End User Participation in the Development of an Ecological Momentary Intervention to Improve Coping With Cannabis Cravings: Formative Study

End User Participation in the Development of an Ecological Momentary Intervention to Improve Coping With Cannabis Cravings: Formative Study

Support for distraction as a coping strategy is mixed; some studies suggest distraction may be maladaptive [24], and others suggest there may be no relationship between distraction as a coping mechanism and craving [10]. However, other research shows distraction to be an effective coping mechanism, even outperforming mindfulness as a strategy to cope with cravings [25].

Molly A Anderson, Alan J Budney, Nicholas C Jacobson, Inbal Nahum-Shani, Catherine Stanger

JMIR Form Res 2022;6(12):e40139

Perspectives of Child Life Specialists After Many Years of Working With a Humanoid Robot in a Pediatric Hospital: Narrative Design

Perspectives of Child Life Specialists After Many Years of Working With a Humanoid Robot in a Pediatric Hospital: Narrative Design

He’s a great distraction ‘cuz unlike the i Pad, he’s real and in front of you. He’s 3 D. You can see him. When and how CLSs introduced MEDi in distraction for procedural support situations depended largely on the child’s age. When asked to use the robot with children aged 3 years and less, CLSs noted exercising additional caution knowing that in this stage of child development, children are often unable to separate fantasy from reality and may be afraid of the robot.

Tanya Beran, Jacqueline Reynolds Pearson, Bonnie Lashewicz, Sandy Baggott

J Med Internet Res 2020;22(11):e23496

Patient Attitudes Toward Mobile Device Use by Health Care Providers in the Emergency Department: Cross-Sectional Survey

Patient Attitudes Toward Mobile Device Use by Health Care Providers in the Emergency Department: Cross-Sectional Survey

Furthermore, there is a potential impact of such distraction on clinical care, especially in high-risk areas such as the emergency department characterized by a high cognitive load and regular interruptions. Such distraction potential has serious safety implications, including the risk that physicians and residents will miss vital patient information [8,10].

Mohamad Alameddine, Hani Tamim, Dima Hadid, Mohamad-Ali Cheaito, Maha Makki, Hadi Maatouk, Eveline Hitti

JMIR Mhealth Uhealth 2020;8(3):e16917

Design Strategies for Virtual Reality Interventions for Managing Pain and Anxiety in Children and Adolescents: Scoping Review

Design Strategies for Virtual Reality Interventions for Managing Pain and Anxiety in Children and Adolescents: Scoping Review

Several studies cited distraction as the main goal of the intervention; that is, attentional resources are temporarily engaged through VR, so there is limited capacity remaining for processing pain or anxiety-inducing stimulus. In its simplest form, distraction therapy involved entertaining media (eg, watching videos) [21,26,32,33]. Others used interactive games, such as Snow World game [18,24], Nintendo Wii Sonic and the Secret Rings game [27], and Bear Blast developed by Applied VR [25].

Naseem Ahmadpour, Melanie Keep, Anna Janssen, Anika Saiyara Rouf, Michael Marthick

JMIR Serious Games 2020;8(1):e14565

A Novel Clinician-Orchestrated Virtual Reality Platform for Distraction During Pediatric Intravenous Procedures in Children With Hemophilia: Randomized Controlled Trial

A Novel Clinician-Orchestrated Virtual Reality Platform for Distraction During Pediatric Intravenous Procedures in Children With Hemophilia: Randomized Controlled Trial

Psychological interventions, such as distraction and hypnosis, can reduce needle-related pain and distress in pediatrics [9]. A recent systematic review and meta-analysis demonstrated that distraction could lead to reductions in child- and observer-reported pain and distress during needle procedures.

Amy L Dunn, Jeremy Patterson, Charmaine F Biega, Alice Grishchenko, John Luna, Joseph R Stanek, Robert Strouse

JMIR Serious Games 2019;7(1):e10902

Personal Communication Device Use by Nurses Providing In-Patient Care: Survey of Prevalence, Patterns, and Distraction Potential

Personal Communication Device Use by Nurses Providing In-Patient Care: Survey of Prevalence, Patterns, and Distraction Potential

In addition, 19% of residents and 12% of attending physicians acknowledged missing important clinical information because of smartphone distraction during rounds and 34% of residents and 20% of attending physicians reported observing another team member miss important clinical information because of smartphone distraction during in-patient round attendance. Smith et al [8] surveyed surgical technicians about their use of their mobile phones while operating a heart-lung machine.

Deborah L McBride, Sandra A LeVasseur

JMIR Hum Factors 2017;4(2):e10